TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) WITH PEDICLE SCREW FIXATION- AN EFFECTIVE MODE OF TREATMENT OF LYTIC SPONDYLOLISTHESIS.

Dr. Rohit Inuganti; Dr. Sravya Teja Paleti

Volume : IX, Issue : V, May - 2020

TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) WITH PEDICLE SCREW FIXATION- AN EFFECTIVE MODE OF TREATMENT OF LYTIC SPONDYLOLISTHESIS.

Dr. Rohit Inuganti, Dr. Sravya Teja Paleti

Abstract :

Background : Spondylolisthesis is derived from the Greek words – spondyl (vertea) and olisthesis (to slip). This describes the forward slippage of a cephalad vertea on a caudal vertea. Spondylolisthesis is one of the common cause for back ache and it might lead to various complications if not treated properly. There are various methods of treatment for spondylolisthesis. Our study is to emphasis that TLIF (TRANSFORAMINAL LUMBAR INTERBODY FUSION) is effective modality of treatment for spondylolisthesis. Methods: 12 patients of Grade 1– 4 Meyerding spondylolisthesis are studied , among which 8 are female and 4 are male. The study is conducted in Department of Orthopaedics at Alluri Sitaramaraju academy of medical sciences from September 2018– September 2019 after approval from ethics comittee. All of them are operated by same surgeon and TLIF . Results: Patients were asked to review at frequent intervals after the discharge from hospital . At each visit patient is assessed by the by Oswestry Disability Index scoring system and radiographs of spine AP , Lateral views . Out of 12 cases we had 2 cases of superficial infection which were treated by antibiotics and one case of screw malposition which was revised . None of the patients returned with similar complaints . Conclusion : We conclude ,Transforaminal lumbar interbody fusion is a safe and effective procedure in producing pain relief besides causing less morbidity to the patient.It provides the benefit of a 360 degree fusion. High fusion rates are achieved with this technique with a good clinical outcomes and few complications.